Nolvadex (tamoxifen citrate) is effective in stopping the spread of breast cancer that managed to pass to other parts of the body. Nolvadex does help to fight breast cancer, but it can have a number of side effects, one of which is an increased possibility of developing uterine cancer. That is why it’s important to show up for gynecological examinations and watch for any changes in the menstruation cycle or discharge. Combining Nolvadex with other medications is not recommended unless your doctor knows about it. Some drugs can change, increase or decrease the effects of this medicine. The following medicines should not be combined with Nolvadex without previously notifying your health care provider: bromocriptine, aminoglutethimide, blood-thinners (warfarin), other cancer drugs, letrozole, phenobarbital or rifampin.

Nolvadex can cause harm to an unborn child and therefore should not be taken by pregnant women. Taking hormonal birth control pills will not prevent you from getting pregnant, as Nolvadex is an anti-estrogen medicine, which is why you will need to consider some non-hormonal contraception method. Your doctor can recommend you several variants of non-hormonal contraception or you can get this information elsewhere.